Ocular masquerade syndrome associated with extranodal nasal natural killer/T-cell lymphoma: case report

Arquivos Brasileiros de Oftalmologia

Ricardo Yuji Abe¹  Roberto Damian Pacheco Pinto¹  João Felipe Leite Bonfitto²  Rodrigo Pessoa Cavalcanti Lira²  Carlos Eduardo Leite Arieta² 

[1] ,Universidade Estadual de Campinas - UNICAMP Hospital de Clínicas Departamento de OftalmologiaCampinas SP ,Brazil

关键词: Eye neoplasms;    Lymphoma T-Cell;    Nose neoplasms;    Vision disorders;    Uveitis;    Optic neuritis;    Killer cells;    natural;    Immunohistochemistry;    Humans;    Male;    Adult;    Case report;    Neoplasias oculares;    Linfoma de células T;    Neoplasias nasaisl;    Transtornos da visãol;    Uveites;    Neurite óptica;    Células matadoras naturaisl;    Imunoistoquímica;    Humanos;    Feminino;    Adulto;    Relato de caso;   

DOI  :  10.1590/S0004-27492012000600013

来源: SciELO

【 摘 要 】

A 33-year-old woman complained of unilateral eyelid edema and blurred vision. Initial ophthalmic examination disclosed anterior chamber reaction with keratic precipitates on the cornea, without posterior abnormalities. Anterior uveitis was treated. Despite that, patient showed rapidly progressive unilateral vision loss with optic nerve swelling. Systemic workup was inconclusive, as well as cranial magnetic resonance imaging and cerebrospinal fluid examination. Based on the hypothesis of optic neuritis, intravenous methylprednisolone pulse was performed with no success. During the following days, the patient presented pericardial effusion and cardiac tamponade, progressing to death. Necropsy was performed and diagnosis of extranodal natural killers/T-cell lymphoma, nasal type with ocular involvement was confirmed by immunohistochemistry.

【 授权许可】

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